Provider Demographics
NPI:1104305457
Name:OMORUYI, JAMES ARIMOKU (LVN)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ARIMOKU
Last Name:OMORUYI
Suffix:
Gender:M
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6206 AIRES DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76001-7447
Mailing Address - Country:US
Mailing Address - Phone:713-876-0003
Mailing Address - Fax:
Practice Address - Street 1:6206 AIRES DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76001-7447
Practice Address - Country:US
Practice Address - Phone:713-876-0003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-08
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX310850164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse